急性右心房不全に対する機械的循環支援装置
Navin K Kapur1, Michele L Esposito2, Yousef Bader2
1From The Cardiovascular Center, Tufts Medical Center, Boston, MA (N.K.K., M.L.E., Y.B., K.J.M., M.S.K.); Department of Cardiac Surgery, Northwestern University Medical Center, Chicago, IL (D.T.P.); and Cardiovascular Research Foundation, New York, NY (D.B.). nkapur@tuftsmedicalcenter.org.
Circulation
|July 19, 2017
まとめ
右心室 (RV) 機能不全は死亡の重要な原因である. 急性メカニカル循環支援ポンプは,RV障害と心臓発作性ショックを患っている患者の安定化に不可欠な選択肢です.
科学分野:
- 心臓病科
- 心血管外科
- 生物医学工学
背景:
- 右心室不全は,進行心不全,肺高血圧,心臓外科手術後の罹患率と死亡率の決定的な決定因子です.
- 皮膚経由で投与される急性メカニカル循環補助器 (RV MCS) は,過去20年間に重要な治療法として登場しました.
- RV MCSは,RVを伴う心臓発作性ショックを経験した患者の安定化に重要な役割を果たします.
研究 の 目的:
- 急性RV障害の 病理生理学を見直す
- 現在のRV MCS装置の作用機構と臨床的有用性について議論する.
- 患者の管理におけるRV MCSの進化する役割を強調する.
主な方法:
- 既存のRV急性メカニカル循環支援装置の文献レビュー
- RV MCSの有効性と適用に関する臨床データの分析
- 急性RV障害の病理生理学の議論
主要な成果:
- RVの急性メカニカル循環サポートは,RVの障害に対する確立された介入です.
- RV MCSの有効性は,最適化された患者選択,モニタリング,離乳プロトコルにますます依存しています.
- 既存のRV MCS装置は,RVの心臓発作ショックを迅速に安定させることができます.
結論:
- RV MCSは,RVの故障管理の不可欠な部分です.
- RV MCSの将来的な進歩は,技術的なインプランテーションを超えて,患者の管理戦略の改善に焦点を当てます.
- RVの故障識別,患者モニタリング,離乳プロトコルの最適化は,RV MCSの恩恵を最大化するために不可欠です.
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